| Jason A Krupp Md Pc | |
|
5930 Royal Ln Suite E #236 Dallas TX 75230-3849 | |
| (214) 701-7608 | |
| Not Available |
| Full Name | Jason A Krupp Md Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 5930 Royal Ln, Dallas, Texas |
| Authorized Official Name and Position | Jason Adam Krupp (PRESIDENT) |
| Authorized Official Contact | 2147017607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Krupp Md Pc 4351 E Lohman Ave Suite 204 Las Cruces NM 88011-8259 Ph: (214) 701-7608 | Jason A Krupp Md Pc 5930 Royal Ln Suite E #236 Dallas TX 75230-3849 Ph: (214) 701-7608 |
| NPI Number | 1427198811 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427198811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD20040216 (New Mexico) | Primary |
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